Taking Your Own Blood Pressure

How often should measure blood pressure at home? For an initial assessment of hypertension and assess the impact of antihypertensive medications blood pressure at home should be measured for at least 3, and preferably 7 days. Daily blood pressure measurements should be conducted in the morning (immediately after waking and before taking this medication in the treatment) and in the evening. In each case, the re- measurement should be carried out 1 minute later. The average value of all measurements should be calculated after discarding the first day of measurement. This 7-day schedule should be followed prior to each subsequent visit to the doctor. With long-term observations it is advisable to measure home less often. Measurement in stressful conditions may be misleading and should be avoided (see the interpretation of measurements of blood pressure).

Should avoid excessive use of home blood pressure monitor for self-change treatment (to take additional tablets or change the dose). The results should be recorded in the log immediately after each measurement, except when the unit is stored in the memory of the values of blood pressure with the date and time of each measurement, or has built-in data transmission. What standards blood pressure measurement at home? As mentioned above, repeated measurements over several days should be averaged to get a reliable picture of the level of blood pressure at home conditions. The mean systolic blood pressure below 130 mm Hg and diastolic below 80 mm Hg considered a normal home blood pressure, and systolic blood pressure 135 mm Hg and above and / or diastolic 85 mm Hg and higher – higher home blood pressure. The interpretation of measurements of blood pressure average of several measurements of blood pressure at home for a few days adds dimension to the study doctor and helps the doctor make an accurate diagnosis.

Values of home blood pressure measurements may differ significantly from measurement to measurement. Blood pressure can be quite high, especially when stressful situations, panic, severe pain, etc., or low, for example, after a long rest or after intense exercise. 'Disposable' measurements have little value and can not give an idea of 'Normal' level of home blood pressure. High blood pressure in one dimension should not cause alarm, except in cases where very high values persist after an adequate period of rest or accompanied by severe symptoms (such as shortness of breath, chest pain, weakness in an arm or leg, difficulty in speech). Increased self-blood pressure at home not in itself an indication for treatment. The doctor will recommend you when and what treatment is indicated. In some cases, self-measured blood pressure at home may be significantly lower than the results of measurements obtained at the doctor's office. This phenomenon is not uncommon, and is known as 'white coat hypertension'. On the other hand, in some cases, blood pressure may be low in doctor's office, while the self-measured blood pressure in home high (latent hypertension). These situations require careful medical evaluation. May require additional research and re-monitoring of blood pressure at home or in outpatient conditions for 24 hours in order to decide on the need for treatment.

Treatment Of Asthma: What You Need To Know

Bronchial asthma – one of the most common diseases in the world. It is known that inflammation in the walls of the bronchi of lungs, which leads to bouts of breathlessness, wheezing and other unpleasant symptoms, is in contact with allergens, such as: tree pollen, dust, and others. Therefore, successful treatment of asthma involves first the creation of antiallergic treatment for the patient. What do I need to do: good ventilate and dry bed, often change bed and underwear, take a shower, replace the pads on sinteponovye and cotton, do not use a feather bed, blanket, woolen garments put them in sealed bags; clean carpets and, if possible, upholstered furniture from the bedroom, to conduct regular wet cleaning (a patient with asthma do not own or, in extreme cases, in a gauze bandage or a respirator like 'petals'); After vacuuming for an hour can be in cleaning the room so as not to inhale the suspension of dust in the air, do not leave open shelves and a large number of books on the surface, no pets, birds, aquarium fish, all of them – the sources of allergens, not to keep soft toys, do not store things under the bed, the curtains should be cotton or synthetic, and often wear out, do not dilute the indoor plants. Medikomentoznoe treatment of asthma may include Seba use of drugs such as Inta, tayled and inhaled corticosteroids. These drugs do not relieve an attack of asthma.

Their action is conditioned by gradual decrease inflammation in the bronchi and, hence, thus they reduce the severity of asthma attacks and their frequency. The action of these drugs in full force manifests itself after the regular admission within two weeks. It is very important not to stop treatment, even after the disappearance of symptoms of asthma. A special group of drugs include the so-called bronchodilators. They relieve bronchospasm and thus stop attack of asthma. But their use is sufficiently regulated, and we must remember that they can be applied not more than three – four times a day. If the patient's condition after their use does not improve, then the necessary urgent help a physician.

The Pain of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is a painful condition caused by the compression, or squeezing of the median nerve which travels through the anatomical structure known as the carpal tunnel. This so-called tunnel connects the distal forearm to the middle section of the deep plane of the palm, going through the palmer side of the wrist.  The tunnel, or canal, is narrow, so when one of the nine long flexor tendons which pass through it become swollen or begin to degenerate, the narrowing within the canal presses on the median nerve, causing the condition.

CTS can cause pain, paresthesias, and at times weakness in the distribution of the median nerve.  Sufferers not only feel pain, but can fell numbness and tingling in their arm, even as far up the arm as the shoulder and even the neck. Most of the discomfort is experienced at night due to improper sleeping positions.

There are stretching exercises which can help alleviate the symptoms of CTS, using the wrist, hand and fingers as well as the use of splints at night. Corticosteroid injections are also used to treat CTS, and if the syndrome is intolerable surgery can be prescribed.